NPIMap

Organization Active NPI

Heartland Women's Healthcare Il PC

  • Obstetrics & Gynecology Physician
  • Shiloh, IL
National Provider Identifier
1568057131
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
HEARTLAND WOMEN'S HEALTHCARE IL PC
Practice address
1170 Fortune Blvd
Shiloh, IL 62269-7358
Phone
(618) 997-5266
Fax
(618) 997-5285
NPI assigned
Mar 5, 2021
Last updated
Mar 5, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
HEARTLAND WOMEN'S HEALTHCARE LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Schifano, DONPI 1679507818
Title
Ceo
Phone
(618) 997-5266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Primary

Addresses

Primary practice location

1170 Fortune Blvd
Shiloh, IL 62269-7358

Mailing address

3230 Veterans Memorial Dr
Mount Vernon, IL 62864-5950
Phone (618) 997-5266

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2167936Heartland Women's Healthcare1170 Fortune Blvd, Shiloh, IL 62269Provider-performed microscopyJun 17, 2027

National Provider Directory

National Provider Directory
Part of
Heartland Womens Healthcare

Locations

1170 Fortune Blvd
Shiloh, IL 62269
Phone (205) 246-5690

1 Broadway Plz
Ste 1
Sparta, IL 62286

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1568057131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 VETERANS MEMORIAL DR",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628645950",
            "telephone_number": "618-997-5266",
            "fax_number": "618-997-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 FORTUNE BLVD",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622697358",
            "telephone_number": "618-997-5266",
            "fax_number": "618-997-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND WOMEN'S HEALTHCARE IL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEARTLAND WOMEN'S HEALTHCARE LTD",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "SCHIFANO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "618-997-5266",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shiloh, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.